经外周中心静脉置管进行肠外营养的研究  被引量：9

Study of peripherally inserted central venous catheters for parenteral nutrition</em> <p class='article-op'> <span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span> </p> <p class="article-source"> <a href ='/article/read.aspx?id=6784814' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('kZk3nKsPOCpEsxkZyNNRQaeSX9wm9qp0GkCkDJ6kWV0=')"><img alt="下载全文" src="/images/btn-down.png" /></a> <input id="hiddowninfo" type="hidden" value="kZk3nKsPOCpEsxkZyNNRQaeSX9wm9qp0GkCkDJ6kWV0="/> </p> <div class="collect" style="display: none"> <h5>我的收藏</h5> <div class="cnt"> <p> 名 称：<input type="text" name="collTitle" id="collSumTitle" /> </p> <p> 注 释：<input type="text" name="collRemark" id="collSumRemark" /> </p> <p style="text-align: center;"> <a href="javascript:void(0)" onclick="g_collectSumOk();"> <img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a> <a href="javascript:void(0)" onclick="g_collectSumCancel();"> <img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a> </p> </div> </div> </div> <form name="wxTransfer" method="post"> <input type="hidden" name="lid" value="" /> <input type="hidden" name="sip" value="" /> <input type="hidden" name="date" value="" /> <input type="hidden" name="co" value="" /> <input type="hidden" name="Title_C" value="" /> <input type="hidden" name="Writers" value="" /> <input type="hidden" name="Name_C" value="" /> <input type="hidden" name="Num" value="" /> <input type="hidden" name="Years" value="" /> <input type="hidden" name="Volumn" value="" /> <input type="hidden" name="GCH" value="" /> <input type="hidden" name="Vol" value="" /> <input type="hidden" name="BookID" value="" /> <input type="hidden" name="SubjectNum" value="" /> <input type="hidden" name="SpecialNum" value="" /> <input type="hidden" name="mirrorName" value="" /> <input type="hidden" name="UserID" value="" /> <input type="hidden" name="UserName" value="" /> <input type="hidden" name="sourceID" value="" /> </form> <script type="text/javascript" src="/scripts/transfer.min.js"></script> <div class="article-detail"> <p class='author'><strong>作　　者：</strong><a href='/writer/article.aspx?id=100000016123355' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%a7%9c%e6%b5%b7%e5%b9%b3%5d' title='姜海平[1]'>姜海平[1]</a> <a href='/writer/article.aspx?id=100000011917008' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e6%88%b4%e4%ba%9a%e5%85%8b%5d' title='戴亚克[1]'>戴亚克[1]</a> <a href='/writer/article.aspx?id=100000008499645' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e6%9d%a8%e9%9b%aa%e5%8d%8e%5d' title='杨雪华[1]'>杨雪华[1]</a> <a href='/writer/article.aspx?id=100000002108448' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e6%9c%b1%e7%87%95%e8%8b%b1%5d' title='朱燕英[1]'>朱燕英[1]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=2170&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e6%9a%a8%e5%8d%97%e5%a4%a7%e5%ad%a6%e5%8c%bb%e5%ad%a6%e9%99%a2%e7%ac%ac%e4%b8%80%e9%99%84%e5%b1%9e%e5%8c%bb%e9%99%a2%e6%99%ae%e5%a4%96%e7%a7%91' title='[1]暨南大学医学院第一附属医院普外科,广东广州510632'>[1]暨南大学医学院第一附属医院普外科,广东广州510632</a> <em> </em></p><p class='from'><strong>出　　处：</strong><a href='/journal/summary.aspx?gch=97949X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e4%b8%ad%e5%9b%bd%e6%99%ae%e9%80%9a%e5%a4%96%e7%a7%91%e6%9d%82%e5%bf%97%5d' title='中国普通外科杂志'>《中国普通外科杂志》</a>2002年第8期464-466,共3页<em>China Journal of General Surgery</em></p><p class='fund'><strong>基　　金：</strong>.NULL.</p><p class='abstrack'><strong>摘　　要：</strong>目的　研究经外周中心静脉置管(PICC)进行肠外营养(PN)的有效性、安全性。方法　观察50例经PICC进行PN病例的置管时间、治疗完成率和置管并发症,并与同期中心静脉插管(CVC)进行比较。结果　平均置管时间:PICC组为17.56d;CVC组为18.24d;治疗完成率:PICC组为92.0%;CVC组为96.0%.平均置管时间、治疗完成率两组比较均无显著性差异。并发症发生率PICC组为18.0%;CVC组为14.0%。PICC并发症为血栓性静脉炎、导管堵塞、感染、导管异位及渗血,但无气胸、误穿动脉等严重并发症,PICC静脉炎发生率高于CVC组(P<0.05)。结论　PICC用于PN是安全、有效的方法,可代替CVC成为PN输注的主要途径。<em><Abstrcat>ObjectiveTo determine the safety and effect of peripherally inserted central venous catheters (PICC) for parenteral nutrition(PN). MethodsThe clinical data of 50 consecutive patients who receiving PN via PICC were compared with 50 patients who receiving PN via central venous catheter(CVC).ResultsThe average catheter insertion days were 17.56d in group PICC,and 18.24d in group CVC(P>0.05).PN completed rate was 92.0% in group PICC,and 96.0% in group CVC (P>0.05).The incidence of complications was 18.0% in group PICC,and 14.0% in group CVC(P>0.05).The complications of PICC included phlebitis,catheter occulusion,infection,malposition of catheter,but no pneumothorax or hemopneumothorax occured .Group PICC had higher phlebitis than that in group CVC(P<0.05).Conclusions PICC may be a safe and effective alternation to patients receiving PN.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/subject/article.aspx?id=3896674' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%83%83%e8%82%a0%e5%a4%96%e8%90%a5%e5%85%bb%5d' title='胃肠外营养'>胃肠外营养</a> <a href='/subject/article.aspx?id=3321571' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e4%b8%ad%e5%bf%83%e9%9d%99%e8%84%89%e7%bd%ae%e7%ae%a1%5d' title='中心静脉置管'>中心静脉置管</a> <a href='/subject/article.aspx?id=9145000' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e7%a9%bf%e5%88%ba%e6%96%b9%e6%b3%95%5d' title='穿刺方法'>穿刺方法</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR459.3' title='R459.3'>R459.3</a>[<a href = '/domain/article.aspx?id=484' >医药卫生—治疗学</a>] </p> </div> <div id="content_wzxg" name="wzxg" class="article-graph"> <object width="695" height="250" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" id="FlashID"> <param value="../flash/relation.swf" name="movie"> <param value="high" name="quality"> <param value="opaque" name="wmode"> <param value="6.0.65.0" name="swfversion"> <param value="dataUrl=/ajax/articlerelativegraph.ashx?id=6784814" name="flashVars"> <embed 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